| NPI | 1205163201 |
|---|---|
| Former Name | LATANYA S LOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA L0603211248) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-11 |