| NPI | 1629555321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 023330) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH LE-0024120) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4011274) | |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2025-05-20 |