NPI | 1699270561 |
---|---|
Former Name | MICHELLE RENEE HANKINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.181662) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2018-03-24 |
Last Update Date | 2024-12-03 |