| NPI | 1750008454 |
|---|---|
| Former Name | HARLEE J BUSSEWITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 20070-130) |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2023-08-22 |