| NPI | 1508106824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 410855) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0035151) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: OH APRN.CNP.0035151) | |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2024-07-02 |