| NPI | 1881364396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2207515) |
| Additional Taxonomies | 104100000X Social Worker |
| 172V00000X Community Health Worker | |
| 251S00000X | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2022-05-17 |