| NPI | 1558999607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: OH CHW000941) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH FPS.000045) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2023-08-02 |