NPI | 1003156712 |
---|---|
Other Name | PEGGY BAUMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-10124) |
Enumeration Date | 2013-02-18 |
Last Update Date | 2023-02-16 |