| NPI | 1588953962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: OH COA.03416-NS CNS) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: OH RX.03416-EX1) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2014-04-23 |