NPI | 1912474248 |
---|---|
Former Name | JAYMES ALLISON PHIPPS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA 60187047) |
Enumeration Date | 2018-10-24 |
Last Update Date | 2023-04-05 |