| NPI | 1912440710 |
|---|---|
| Former Name | LINDSAY WOLTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 17993-130) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2024-03-27 |