| NPI | 1306384045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: OH RN.478699) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: OH LPN161200) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2023-05-04 |