NPI | 1174842710 |
---|---|
Other Name | PEGGY PINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 09930904) |
Additional Taxonomies | 101YP2500X Counselor Professional |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2010-05-21 |
Last Update Date | 2024-09-16 |