| NPI | 1568134815 |
|---|---|
| Former Name | KYRA HOENACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AK 5359) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: AK 5131) |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2026-04-30 |