| NPI | 1184135477 |
|---|---|
| Other Name | IVY MYERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR 17-CRM-038) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2019-06-20 |