| NPI | 1255976817 |
|---|---|
| Former Name | KATLYN M FIES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 19019-130) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2024-03-28 |