NPI | 1275047888 |
---|---|
Other Name | KYLI BROOKE DAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: CO 0016646) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2017-11-20 |
Last Update Date | 2020-12-23 |