NPI | 1003998204 |
---|---|
Former Name | LYNN WACHTEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IL 16606) |
Additional Taxonomies | 1041C0700X Social Worker Clinical |
Enumeration Date | 2006-10-19 |
Last Update Date | 2007-07-08 |