| NPI | 1366708976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRNCNP023318) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0021065-SUPV) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN 420787) | |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2018-09-27 |