| NPI | 1982297719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) (Licence: OH LE-00034987) |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2021-02-12 |