| NPI | 1659801298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2202726) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1902026) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-10-11 |