NPI | 1013367853 |
---|---|
Former Name | ROCHELLE MAXINE JOHNSON-COOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 031000) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH 031000) |
Enumeration Date | 2016-06-13 |
Last Update Date | 2023-02-15 |