| NPI | 1316261506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 376K00000X Nurse's Aide (Licence: OH 400426531104) | |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2019-10-08 |