| NPI | 1235644436 |
|---|---|
| Former Name | KASEY DOAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACA.0007035) |
| Enumeration Date | 2017-12-10 |
| Last Update Date | 2017-12-10 |