| NPI | 1093204430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: OH C2002765) | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2022-07-25 |