| NPI | 1396060935 | 
|---|---|
| Former Name | KERRY MARIE WINTER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Aii052450218) | 
| Enumeration Date | 2010-04-06 | 
| Last Update Date | 2023-07-17 |