| NPI | 1447503453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: OH COA.06364-NS) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH COA.06364-NS) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2014-02-19 |