| NPI | 1275690505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: OH NS-03684) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E0000762) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2011-02-09 |