| NPI | 1316129331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1300296) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.432369) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2025-05-14 |