| NPI | 1487436820 |
|---|---|
| Former Name | KAYLA RICHARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 185808) |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2023-10-19 |