| NPI | 1053741702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: OH RN.291517-COA1) |
| Enumeration Date | 2013-11-16 |
| Last Update Date | 2023-03-07 |