| NPI | 1013297019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH coa.13307-NP) | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: OH COA.10682-NS) | |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2023-12-06 |