| NPI | 1992379275 |
|---|---|
| Former Name | KENYA JO SKEEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-1848) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2021-05-19 |