NPI | 1558975128 |
---|---|
Former Name | JESSICA A KNIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.186108) |
Additional Taxonomies | 175T00000X Peer Specialist |
Enumeration Date | 2020-09-01 |
Last Update Date | 2024-06-20 |