| NPI | 1619348885 |
|---|---|
| Former Name | MILISSA A BAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 01169) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2026-01-23 |