| NPI | 1053963868 |
|---|---|
| Former Name | KERI LYNN QUICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 30067) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |