| NPI | 1891397105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 246RP1900X Technician, Pathology, Phlebotomy (Licence: OH 260420981009) | |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2022-09-22 |