NPI | 1609562008 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OH CDCA.185525) |
Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.003703) |
Enumeration Date | 2023-04-18 |
Last Update Date | 2023-11-22 |