NPI | 1174757678 |
---|---|
Former Name | ALICJA GRIFFITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/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, Psych/Mental Health (Licence: OH COA.16032-NP) | |
Enumeration Date | 2009-05-12 |
Last Update Date | 2022-07-21 |