| NPI | 1720307697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.143545-COA1) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.0000155) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2014-08-08 |