| NPI | 1720134844 |
|---|---|
| Professional Name | WANDA KAYE LONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 320,787) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 787) |
| 1041C0700X Social Worker, Clinical (Licence: NE 511) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-02-27 |