| NPI | 1154446565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH I-0007332) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN-165237) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |