| NPI | 1073020970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C2103270) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.288726) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2022-09-27 |