| NPI | 1003314907 |
|---|---|
| Former Name | KIERSTEN LYNETTE JABLONICKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7631-25) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 18178-130) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2023-07-17 |