| NPI | 1437610086 |
|---|---|
| Former Name | AUDREY WARTSBAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012116) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2021046000) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2023-08-03 |