| NPI | 1316668189 |
|---|---|
| Former Name | SARA RACHELE LAPORTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002303) |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2024-08-08 |