| NPI | 1134965627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: OH OCPS161415) |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-11-04 |