| NPI | 1174329023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0039234) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1302143) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.530404) | |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2025-10-02 |