| NPI | 1013425461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH CDCA.165842) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2020-04-21 |