| NPI | 1700675105 |
|---|---|
| Former Name | AUDREY HOLBROOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 258898) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 258898) |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-05-02 |