| NPI | 1114401932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: OH APRN.CNP.0027549) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0027549) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2021-02-18 |