| NPI | 1093374720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2410676) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OH S.2410676) |
| 101Y00000X Counselor (Licence: OH CDCA169545) | |
| 172V00000X Community Health Worker | |
| 251S00000X | |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2024-06-10 |