| NPI | 1376912055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH F.1500018) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.530883) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2025-03-07 |