NPI | 1053813758 |
---|---|
Former Name | JAMIE BARTOSZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-24-3930) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 25-QMHA-R-6536) |
175T00000X Peer Specialist (Licence: OR 17-CRM-235) | |
Enumeration Date | 2018-03-08 |
Last Update Date | 2025-04-17 |