| NPI | 1295149573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E. 1600111) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OH C 1300367) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2017-02-09 |