| NPI | 1538667522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.1901615) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1901615) |
| 171M00000X Case Manager/Care Coordinator (Licence: OH C.1800827-TRE) | |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2019-07-08 |