| NPI | 1093904427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN095547) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH PN095547) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2016-04-14 |