| NPI | 1871180976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH 2103617) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.2103617) |
| 227800000X Respiratory Therapist, Certified (Licence: OH 174840) | |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2023-09-27 |