| NPI | 1215073747 |
|---|---|
| Former Name | JUDY WANG LUE VANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7102-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 7102-125) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15464-132) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15133) | |
| 101YP2500X Counselor, Professional (Licence: WI 1710-226) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2024-08-28 |