| NPI | 1952733594 |
|---|---|
| Former Name | LORI JEAN MCELROY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1125) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2017-04-13 |