NPI | 1447797824 |
---|---|
Former Name | WHITNEY JO LAUBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2889) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1304) |
101Y00000X Counselor (Licence: NE 11089) | |
Enumeration Date | 2017-01-24 |
Last Update Date | 2022-05-26 |