| NPI | 1033350467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP024101) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: OH RN251378) |
| Enumeration Date | 2009-03-15 |
| Last Update Date | 2021-07-15 |