| NPI | 1083184436 |
|---|---|
| Former Name | STARLA RACHELLE SCHROCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 1627) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |