| NPI | 1689223703 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2404175) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2103484) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2025-02-07 |