| NPI | 1770812984 |
|---|---|
| Former Name | PEGGY A REED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 2917) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 2917) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2019-09-03 |