| NPI | 1376814996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: OH COA01381 NS) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OH RN-125605) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2015-10-27 |