| NPI | 1265230395 |
|---|---|
| Former Name | KATELYN MARIE ECKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA APC000952) |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-03-05 |