| NPI | 1548936131 |
|---|---|
| Former Name | GWENDY EVA HASTINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61620972) |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2025-11-20 |