| NPI | 1720669708 |
|---|---|
| Former Name | LYNETTE M WYNTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 7651) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-04-20 |