| NPI | 1619586955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2204167-TRNE) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH CDCA.178886) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2022-07-26 |