| NPI | 1508930355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0007935) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH CRC 00055512) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2010-04-14 |