| NPI | 1881171973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH S.0900508) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 374U00000X Home Health Aide | |
| 172V00000X Community Health Worker | |
| 251E00000X Home Health | |
| 251S00000X | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2024-05-16 |