| NPI | 1083548291 |
|---|---|
| Former Name | BRIDGET ELAINE LEWING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 74781) |
| Enumeration Date | 2026-06-11 |
| Last Update Date | 2026-06-11 |