| NPI | 1558000604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E.0004079) |
| 101YM0800X Counselor, Mental Health (Licence: OH E.0004079) | |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2022-05-27 |