| NPI | 1851869556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2103660) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.136876.MEDS) |
| 251S00000X (Licence: OH CDCA.169967) | |
| 101Y00000X Counselor (Licence: OH C.1901526-TRNE) | |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2024-06-21 |