| NPI | 1386158442 |
|---|---|
| Former Name | BRITTANY KILGOUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 150585) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2024-01-03 |