| NPI | 1154886075 |
|---|---|
| Other Name | KATIE LYNN BROADWAY-BEERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 9035) |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |