| NPI | 1902978281 |
|---|---|
| Other Name | GINGER WAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5285) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710001022) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP2044) | |
| 101YP2500X Counselor, Professional (Licence: VA 0701002638) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-08-12 |