NPI | 1811426091 |
---|---|
Former Name | JESSICA SHARPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC.0021036) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
172A00000X Driver | |
Enumeration Date | 2017-06-09 |
Last Update Date | 2025-03-24 |