| NPI | 1154844843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2505580) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 101Y00000X Counselor (Licence: OH C.2305274) | |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2025-09-05 |