| NPI | 1659195279 |
|---|---|
| Former Name | ANDREA MARLENE SPITLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AZ LAAC-15446) |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-11 |