| NPI | 1659032068 |
|---|---|
| Other Name | THERESA KAY SCHWOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-1629) |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-01-07 |