| NPI | 1972158533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2207942) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2024-05-04 |