| NPI | 1437673258 |
|---|---|
| Former Name | BRITTNEY KUFALK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16435) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2022-07-21 |