| NPI | 1912450909 |
|---|---|
| Former Name | CAROL HORWATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 11055 - 132) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |