NPI | 1104681642 |
---|---|
Other Name | LEE GWIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CADC-22496) |
405300000X Prevention Professional (Licence: NC CPS-20143) | |
Enumeration Date | 2024-02-14 |
Last Update Date | 2024-02-14 |