| NPI | 1851034813 |
|---|---|
| Former Name | TONI RAYE CHASE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AK 160583) |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2023-10-04 |