| NPI | 1194171546 |
|---|---|
| Former Name | CATERINA LYNN MCLESTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 1208) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |