| NPI | 1801556972 |
|---|---|
| Former Name | ASHLEY DUDEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IL 178015792) |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2021-12-30 |