NPI | 1861091456 |
---|---|
Former Name | ALEXANDRIA NIZAMUTDINOVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.174133) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2020-10-23 |
Last Update Date | 2022-12-08 |