NPI | 1114007952 |
---|---|
Former Name | PEGGY JEAN LAHMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA078) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2022-07-21 |