| NPI | 1609271840 |
|---|---|
| Former Name | SHAYLA DANELLE TRUETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 22694) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2018-02-07 |