| NPI | 1184118630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C0900452) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH 4232595) |
| 225C00000X Rehabilitation Counselor (Licence: OH 00113141) | |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |