NPI | 1720451388 |
---|---|
Former Name | WENDY LA FLEUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60613827) |
Additional Taxonomies | 175T00000X Peer Specialist |
Enumeration Date | 2015-11-04 |
Last Update Date | 2020-05-15 |