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 |