| NPI | 1184084568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0029158) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.1200531) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2022-03-08 |