| NPI | 1720574833 |
|---|---|
| Other Name | SHILOH KIRBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2021-02-15 |