| NPI | 1104068329 |
|---|---|
| Former Name | SANDRA MARIE WINN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC 11660) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC11923) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2009-04-16 |