| NPI | 1679275150 |
|---|---|
| Other Name | WANDA FAYE COWAN HANDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KS 641) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |