| NPI | 1003030610 |
|---|---|
| Former Name | LAURA ANN BURWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 06-11-73) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2023-05-23 |