| NPI | 1104442821 |
|---|---|
| Former Name | KALI DOREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 03870) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 01716) |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2024-10-01 |