| NPI | 1972921336 |
|---|---|
| Former Name | LAURIE LYNN CRAFT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6933) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2015-10-13 |