| NPI | 1457150831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.402823) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |