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 |