NPI | 1558855254 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker (Licence: ohio) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2018-06-18 |
Last Update Date | 2018-07-03 |