| NPI | 1285306472 |
|---|---|
| Former Name | KATHY LYNN SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 10820) |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2021-10-05 |