| NPI | 1295365468 |
|---|---|
| Former Name | TERRI CATERBURY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 285875) |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2024-08-01 |