| NPI | 1215376439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.008345) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1302527) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2024-01-25 |