| NPI | 1508437278 |
|---|---|
| Former Name | CAROLYNN RAFA TODD |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 21-QMHA-R-1302) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-07-05 |
| Last Update Date | 2024-11-08 |