| NPI | 1235916339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OH 2023) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: OH 2023) |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2023-09-12 |