| NPI | 1700321791 |
|---|---|
| Former Name | CASEY MONAHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 2306) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP61016510) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2023-06-07 |