| NPI | 1497479620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 189546) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2025-09-02 |