| NPI | 1306026968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH 334547) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 164W00000X Licensed Practical Nurse (Licence: OH PN103505) | |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2025-07-25 |