| NPI | 1629375134 |
|---|---|
| Former Name | LIBBIE DAWNN IVERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW00018) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2016-03-28 |