| NPI | 1518303791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN238925) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2015-08-26 |