| NPI | 1093921355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0037187) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E. 0003370) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2024-08-12 |