| NPI | 1477912780 |
|---|---|
| Former Name | DOROTHY JEAN ALEX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2025-08-22 |