| NPI | 1629271150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.16281) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C0500689) |
| 101YP2500X Counselor, Professional (Licence: OH COA16281NP) | |
| 363L00000X Nurse Practitioner (Licence: OH COA16281-NP) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2023-03-06 |