| 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 |