| NPI | 1518300946 |
|---|---|
| Professional Name | PEGGY SUE BLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC15039) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00464-LC) |
| 101YP2500X Counselor, Professional (Licence: NV Cp-0215) | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2023-11-21 |