| NPI | 1508631029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0813X Clinical Nurse Specialist Psychiatric/Mental Health, Geropsychiatric (Licence: OH 2023151226) |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-11-15 |