NPI | 1962639310 |
---|---|
Other Name | KATE VAN EYCKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.013391) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 2002 073) |
101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IL 13338) | |
101YM0800X Counselor Mental Health | |
Enumeration Date | 2009-06-12 |
Last Update Date | 2011-10-18 |