| NPI | 1285196055 |
|---|---|
| Former Name | WENDY SUZETTE BOLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701007818) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701007818) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710102349) | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2025-01-15 |