| NPI | 1275328882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CDCA195913) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH PRS005771) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2026-09-30 |