| NPI | 1376912055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0039478) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH F.1500018) |
| 163W00000X Registered Nurse (Licence: OH RN.530883) | |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2025-09-10 |