NPI | 1679338545 |
---|---|
Former Name | BECKY STRAHAN-LASKOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: LA 2222) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 939) |
133V00000X Dietitian, Registered (Licence: LA 197) | |
Enumeration Date | 2024-02-19 |
Last Update Date | 2024-02-19 |