| NPI | 1114620234 |
|---|---|
| Former Name | KATHERINE RUGGLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: R1577530824) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-08-29 |