| NPI | 1861714040 |
|---|---|
| Former Name | DIANE KAY KIRKWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 1017) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 9066) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2023-09-18 |