| NPI | 1134723505 |
|---|---|
| Former Name | LAURA LYNN HUCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 6855070-6006) |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2020-11-25 |