| NPI | 1487246146 |
|---|---|
| Former Name | KATE ELIZABETH WELLENSIEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 1348) |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2021-02-04 |