| NPI | 1689359119 |
|---|---|
| Former Name | LAURA CATHERINE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 29059) |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2025-10-29 |