| NPI | 1083243992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0026806) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1700358) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CT 154038) | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-07-07 |