NPI | 1205318367 |
---|---|
Former Name | CAMILLE CARPENTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.166347) |
Enumeration Date | 2018-09-05 |
Last Update Date | 2023-06-13 |