| NPI | 1124685128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 21-QMHA-R-1030) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S.2001529-TRNE) | |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2021-05-05 |