| NPI | 1952954000 | 
|---|---|
| Former Name | LENA MARIE WALKER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101Y00000X Counselor | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) | 
| Enumeration Date | 2019-07-18 | 
| Last Update Date | 2024-01-10 |