NPI | 1578088753 |
---|---|
Former Name | TRINA YOLANDA WASHINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 1578088753) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OK 1578088753) |
Enumeration Date | 2017-08-08 |
Last Update Date | 2020-11-24 |