| NPI | 1811359524 |
|---|---|
| Former Name | KAYLA ASHLEY BEYERBACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 28315) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2022-09-09 |