| NPI | 1306802517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH COA.14814-NP) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E2679) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2017-02-17 |