| NPI | 1952889594 |
|---|---|
| Former Name | KAILEY BRINK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021269) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA SW134346) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2023-12-04 |