NPI | 1033800875 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: OH 2024) |
Enumeration Date | 2023-05-15 |
Last Update Date | 2024-08-30 |