| NPI | 1770700890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002497-SUPV) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OH 13980) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2024-10-23 |