| NPI | 1205321585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 181500) |
| 171M00000X Case Manager/Care Coordinator | |
| 251S00000X | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2022-11-08 |