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 |