| NPI | 1679083273 |
|---|---|
| Former Name | AUDREY IWERKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 11376) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 11376) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LC20465) | |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2024-05-23 |