| NPI | 1013626316 |
|---|---|
| Former Name | KATIE ELIZABETH HODGES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-22-2055) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OR 24-QMHA-R-5809) |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2024-11-26 |