| NPI | 1003442450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0031787) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1800813) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0031787) | |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2023-09-06 |