| NPI | 1114663440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 184151) |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2023-12-12 |