| NPI | 1518370394 |
|---|---|
| Former Name | JOANNE LORRAINE KNOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A10816) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-21904) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2020-12-03 |