| NPI | 1578031613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0036851) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1600002-SUPV) |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2024-07-19 |