| NPI | 1922771997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2203763-TRNE) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2022-02-09 |