| NPI | 1427695147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 224ZR0403X Occupational Therapy Assistant, Driving and Community Mobility (Licence: OH 05674) | |
| Enumeration Date | 2019-12-01 |
| Last Update Date | 2019-12-01 |