| NPI | 1215625876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0035142) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.322841) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-12-22 |