| NPI | 1023799483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.444495) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2024-07-12 |