| NPI | 1851662951 |
|---|---|
| Other Name | CODY YVONNE MANTHEI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1022) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |