| NPI | 1215632799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH M-2300333-TRNE) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2024-12-10 |