| NPI | 1902155724 |
|---|---|
| Former Name | LAURA LEE HINCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 16635-130) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2012-09-07 |