| NPI | 1366135568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OH Non-Licensed) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH LPC) |
| 104100000X Social Worker (Licence: OH LSW) | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: OH RN) | |
| 164W00000X Licensed Practical Nurse (Licence: OH LPN) | |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-01 |