| NPI | 1154578383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent (Licence: OH COA-12006-NS) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2022-07-21 |