| NPI | 1750840195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH QMHS) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH 2019) |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-03-15 |