| NPI | 1144190703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11045462) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.538876) |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2026-02-12 |