| NPI | 1548519564 |
|---|---|
| Former Name | LAURA CHRISTINE SCHOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACA.0007022) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2019-07-25 |