| NPI | 1467752030 |
|---|---|
| Other Name | KATIE KILCULLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX LCDC 5614) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |