| NPI | 1003483090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0039352) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 163W00000X Registered Nurse (Licence: OH 530729) | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2025-06-27 |