| NPI | 1033453295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0035797) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0900659) |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2024-02-16 |