| NPI | 1942715511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH W1600061) |
| 101Y00000X Counselor (Licence: OH CDCA.161788) | |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2019-06-28 |