| NPI | 1447818158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.432966) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH CDCA.171552) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2020-09-01 |