| NPI | 1376187419 |
|---|---|
| Former Name | FREDERICKA L DEMMONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OH 1376187419) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2023-05-08 |