| NPI | 1639535115 |
|---|---|
| Former Name | RITA JEAN WEGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 6722-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2020-03-10 |