| NPI | 1487830501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0001553) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: OH RN 097197, NS-02463) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2008-01-18 |