| NPI | 1235606849 |
|---|---|
| Former Name | MCKENNA L PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2208475) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2025-03-24 |