| NPI | 1447640909 |
|---|---|
| Former Name | AUDRE J BEDFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 14233) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-2271) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2025-01-15 |