| NPI | 1306278999 |
|---|---|
| Former Name | TAMMIE LUE BENDIXEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 346406-6008) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-06 |