| NPI | 1063085819 |
|---|---|
| Former Name | BETH CONAWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 01062) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 04224-T) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2023-01-12 |