| NPI | 1174757678 |
|---|---|
| Former Name | ALICJA GRIFFITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.16032) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH 0800345) |
| 163WH0200X Registered Nurse Home Health (Licence: OH 359101) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH COA.16032-NP) | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2025-04-08 |