| NPI | 1699258939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C.2204152) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2023-06-26 |