| NPI | 1194811851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: OH RN159127) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S-0002135) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2025-09-11 |