NPI | 1235746637 |
---|---|
Former Name | DESIREE CHANTEL STILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2411035) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.174315) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2020-09-29 |
Last Update Date | 2025-04-09 |