NPI | 1629611421 |
---|---|
Former Name | ALEXUS SANDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: OH 2207437) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII16139) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2019-10-24 |
Last Update Date | 2022-05-16 |