| NPI | 1588085997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH COA15846) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 379900) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2019-06-24 |