NPI | 1861881880 |
---|---|
Other Name | ANGIE T. PECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD 08051364) |
Enumeration Date | 2015-01-14 |
Last Update Date | 2015-01-14 |