| NPI | 1316619257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.526789) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.179595.MEDS-IV) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2023-07-31 |