NPI | 1902347784 |
---|---|
Former Name | JUSTINE NICOLE PINKERTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.163107) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH W.1800112) |
Enumeration Date | 2017-03-14 |
Last Update Date | 2021-03-24 |