| NPI | 1154560456 |
|---|---|
| Former Name | ROBIN L WISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC0012164) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD0000241) | |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2017-02-15 |