| NPI | 1073705968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: OH COA.07413-NS) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OH RN228692) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: KY 1113513) | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: KY 3010172) | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2016-03-29 |