| NPI | 1326546771 |
|---|---|
| Former Name | JAN LEE TRIMBLE KILLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60781160) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |