| NPI | 1669946646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.184624.MEDS-IV) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2023-05-04 |