| NPI | 1366802027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.507286) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: OH PN.122329-M-IV) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2022-05-17 |