NPI | 1538684816 |
---|---|
Former Name | JESSICA HOLLIMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1903943) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161509) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2017-08-08 |
Last Update Date | 2020-03-11 |