| NPI | 1770986937 |
|---|---|
| Former Name | SHALETA LANET SPEASE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015013) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-22111) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2023-12-08 |