| NPI | 1275382731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0040489) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.515279) |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2026-02-04 |