| NPI | 1225600919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH CDCA.177606) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2025-12-10 |