| NPI | 1487293080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2106597) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1901217-TRNE) |
| 1041C0700X Social Worker, Clinical (Licence: OH S.2106597) | |
| 172V00000X Community Health Worker (Licence: OH S.2106597) | |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2022-03-21 |