| NPI | 1982230603 |
|---|---|
| Other Name | KATHY WUNDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-22118) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 3683) |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |