| NPI | 1710508890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: OH CDCA.172668) |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2025-06-04 |