NPI | 1982144481 |
---|---|
Former Name | TAMMY LAMBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH 001052) |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2017-03-02 |
Last Update Date | 2020-12-29 |