| NPI | 1538572706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management (Licence: OH 369432) |
| Additional Taxonomies | 251E00000X Home Health (Licence: OH 369432) |
| 282E00000X (Licence: OH 369432) | |
| 305S00000X Point of Service (Licence: OH 369432) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |