| NPI | 1326669904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0026974) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4014457) | |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2025-07-30 |