| NPI | 1417027137 |
|---|---|
| Professional Name | HARRIET LUCKETT VAN WYNGARDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0337) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM M-1657) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2018-05-09 |