| NPI | 1922336429 |
|---|---|
| Former Name | LAURI ELANA ENDICOTT/BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00004100) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2011-03-22 |