NPI | 1154078442 |
---|---|
Former Name | KAYLEN ANNMARIE BRIEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 22-CRM-1000) |
Additional Taxonomies | 175T00000X Peer Specialist |
Enumeration Date | 2022-03-07 |
Last Update Date | 2025-07-17 |