| NPI | 1093748824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 3959) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN186571) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH NS07373) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: SC 3959) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-07-21 |