| NPI | 1306409297 |
|---|---|
| Former Name | CATHY LYNNE CAMP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2024-01-16 |