| NPI | 1619744588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH W.1900161) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OH W.1900161) |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-11 |