| NPI | 1104492545 |
|---|---|
| Former Name | KIMBERLY BURKITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.180022) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.176068) |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2024-07-19 |