NPI | 1750928107 |
---|---|
Former Name | SYDNEY WENDELS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 680110579) |
Enumeration Date | 2019-12-04 |
Last Update Date | 2023-01-05 |