| NPI | 1295282507 |
|---|---|
| Other Name | ABBY AILENE MASTERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 673) |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-02 |