| NPI | 1558767996 |
|---|---|
| Former Name | LAURA BECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60198895) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2021-07-24 |