| NPI | 1942417407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH 1902395) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 149604) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2019-12-23 |