| NPI | 1003248428 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: OH APRNCNP15127)  | 
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OH RN. 380301)  | 
| Enumeration Date | 2013-08-08 | 
| Last Update Date | 2018-08-30 |