| NPI | 1912262999 |
|---|---|
| Former Name | KYLENE WHITEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2024-01-05 |