| NPI | 1750941597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH CDCA170113) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2019-06-14 |