| NPI | 1942891031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH M.2100220-TRNE) |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2023-03-01 |