| NPI | 1124537105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2103069-TRNE) |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2021-02-12 |