| NPI | 1992315402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172A00000X Driver |
| 374U00000X Home Health Aide | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 140841) | |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2024-04-29 |