| NPI | 1205430170 |
|---|---|
| Former Name | SANDRA LEE FERRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW000004015) |
| Enumeration Date | 2020-11-22 |
| Last Update Date | 2023-11-22 |