| NPI | 1285760579 |
|---|---|
| Former Name | WENDY DIANE CARPENTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2091) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C0501074) |
| 101YS0200X Counselor, School (Licence: OH OHI-50-2033 JK3G122) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2018-10-09 |