| NPI | 1487029641 |
|---|---|
| Former Name | KESHA BLUNT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S. 0027922) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH S.0027922) |
| 171M00000X Case Manager/Care Coordinator (Licence: OH S. 0027922) | |
| 171W00000X Contractor (Licence: OH S. 0027922) | |
| 172A00000X Driver | |
| 172V00000X Community Health Worker (Licence: OH S.0027922) | |
| 174H00000X Health Educator (Licence: OH S. 0027922) | |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2021-01-19 |