| NPI | 1649331026 |
|---|---|
| Former Name | SONJA JEAN LAZARZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15392-132) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 13531) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2021-01-22 |