NPI | 1376818302 |
---|---|
Other Name | FAWN HAKERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR THW1682) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2012-03-08 |
Last Update Date | 2018-03-29 |