| NPI | 1750734273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1801241-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH I.1801241) |
| 172V00000X Community Health Worker (Licence: OH S.1600344) | |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2024-05-20 |