| NPI | 1396562021 |
|---|---|
| Former Name | LORRAINE RAYANN STONER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP61446517) |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-10-30 |