| NPI | 1154894384 |
|---|---|
| Former Name | BRENDA WILHELM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2022-01-10 |