| NPI | 1619313897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 026583) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 191305) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2020-08-13 |