| NPI | 1104315548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH C.2002847) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C1901818-TRNE) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2023-01-25 |