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 |