| NPI | 1124591631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH ua413130) | |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2021-11-09 |