| NPI | 1073397014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH Tw997710) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-11-27 |