| NPI | 1679110209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN468266) |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2021-11-10 |