| NPI | 1518150911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult (Licence: OH 03372-NS) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 954220) |
| 104100000X Social Worker (Licence: OH S1686) | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: OH 198789) | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |