| NPI | 1528081536 |
|---|---|
| Former Name | BONNIE LYNN WALTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 0011321) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 11950) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2025-09-11 |