| NPI | 1164733499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0040374) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.347911) |
| 163W00000X Registered Nurse (Licence: OH RN347911) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2025-11-19 |