| NPI | 1679024921 |
|---|---|
| Former Name | LAYNE SPANGLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RADT11) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |