NPI | 1194074567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: OH APRN.CNS.13737) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OH RN.205761-COA1) |
Enumeration Date | 2012-08-31 |
Last Update Date | 2025-05-08 |