| NPI | 1245409606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent (Licence: OH NS-01975) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN211732) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2020-12-07 |