| NPI | 1265700843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0032210) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.459829) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2022-10-04 |