NPI | 1447963954 |
---|---|
Former Name | KANDYCE LEE OLLIAN-WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR 22-CRM-1053) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-24-4023) |
Enumeration Date | 2022-12-29 |
Last Update Date | 2024-06-21 |