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 |