| NPI | 1376027110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.462546) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 164W00000X Licensed Practical Nurse (Licence: OH 160867) | |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2020-07-15 |