| NPI | 1376904482 |
|---|---|
| Former Name | DANYETTE SPROLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A054770825) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2026-05-05 |