NPI | 1992138176 |
---|---|
Former Name | KIANTE GRIFFIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A4682) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
1041S0200X Social Worker, School (Licence: OR 545074) | |
Enumeration Date | 2013-08-12 |
Last Update Date | 2021-07-30 |