| NPI | 1760967848 |
|---|---|
| Professional Name | JAIME PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00006388) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |