NPI | 1013127158 |
---|---|
Former Name | ASHLEY ANN WEGENER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4313-125) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15485-132) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2023-02-13 |