| NPI | 1154833234 |
|---|---|
| Former Name | SADETTE SPOONER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 3567226) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 18180130) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2020-10-21 |