| NPI | 1528544723 |
|---|---|
| Former Name | VINNETTA SAMPLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1904493) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2020-08-05 |