| NPI | 1669722963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1100332) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH c.1100332) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2016-06-22 |