| NPI | 1225749112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OH 2022) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH QMHS) |
| 164W00000X Licensed Practical Nurse (Licence: OH 193232) | |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2025-12-18 |