| NPI | 1639728280 |
|---|---|
| Former Name | TRINITY KYLYN NESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 305250) |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2021-06-30 |