| NPI | 1932474251 |
|---|---|
| Former Name | TOREY DENISE ROYSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD SC0343) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |