| NPI | 1417640731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH S.2512776) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2025-08-19 |