| NPI | 1780166009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2101799-TRNE) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2021-05-05 |