| NPI | 1003487703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2304907) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2021-07-05 |
| Last Update Date | 2023-02-22 |