NPI | 1881725828 |
---|---|
Former Name | JAMIE WENDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ND 759-15-13-345) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ND 1550) |
101YP2500X Counselor Professional (Licence: ND 759-15-13) | |
Enumeration Date | 2007-03-09 |
Last Update Date | 2019-06-10 |