| NPI | 1699163816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.20011683) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 166698) |
| 101Y00000X Counselor (Licence: OH C.1902344) | |
| 101YM0800X Counselor, Mental Health (Licence: QMHS) | |
| 171M00000X Case Manager/Care Coordinator (Licence: OH CMS) | |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2020-09-09 |