| NPI | 1083928386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0029005) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 344101) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH 344101) | |
| 163WC1500X Registered Nurse, Community Health (Licence: OH 344101) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH 344101) | |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2024-05-30 |