| NPI | 1982365110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2207815) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH QMHS) |
| 171M00000X Case Manager/Care Coordinator (Licence: OH 2022) | |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2023-08-15 |