| NPI | 1871083063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2406274) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH LCDCII.081106) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2024-09-09 |