NPI | 1235746637 |
---|---|
Former Name | DESIREE CHANTEL STILL |
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.174315) |
104100000X Social Worker (Licence: OH S.2102052-TRNE) | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2020-09-29 |
Last Update Date | 2023-01-10 |