| NPI | 1871205617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 183247) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: OH 183247) |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2022-12-22 |