| NPI | 1477891778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN099079MIV) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2021-11-18 |