| NPI | 1477608206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: OH COA.13373-NS) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2013-05-20 |