| NPI | 1205526597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OH CDCA.192720) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OH CDCA.192720) |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2026-07-16 |