| NPI | 1558076588 |
|---|---|
| Former Name | PEACHES CRAWFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2023-01-13 |