| NPI | 1255799383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: OH rn161024) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: OH rn161024) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |