| NPI | 1548803331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I2102660) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OH S.1904488) |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2021-03-03 |