| NPI | 1457073561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2507403) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OH C.2507403) |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2025-12-10 |