| NPI | 1194351817 |
|---|---|
| Former Name | ROXANNA J BARNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-20-188) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 20-CRM-047) | |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2021-02-18 |