| NPI | 1154743425 |
|---|---|
| Former Name | AUDREY KASTING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 12282) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-22845) |
| 101YP2500X Counselor Professional (Licence: NC 12282) | |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2024-04-06 |