| NPI | 1932118023 |
|---|---|
| Former Name | CAROLINE KISSI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C005191) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1617) |
| Enumeration Date | 2006-08-06 |
| Last Update Date | 2023-11-19 |