| NPI | 1891508354 |
|---|---|
| Former Name | WENDY SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 158) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2042) |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-01-29 |