| NPI | 1962955732 |
|---|---|
| Former Name | VIRGINIA PEEKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2020-01-03 |