NPI | 1902118896 |
---|---|
Former Name | KERI BALFOUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401012323) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802085701) |
324500000X Substance Abuse Rehabilitation Facility (Licence: MI 101YA0400X) | |
171M00000X Case Manager/Care Coordinator (Licence: MI 6802085701) | |
Enumeration Date | 2010-07-08 |
Last Update Date | 2015-10-01 |