| NPI | 1235680901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2002131-S) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.142484-M-IV) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2024-01-17 |