| NPI | 1700913647 |
|---|---|
| Former Name | LARA MARIE DANGLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0004649) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6497) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2022-09-13 |