| NPI | 1629621768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH PMH05250104) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 163W00000X Registered Nurse (Licence: OH RN.486528) | |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2025-12-04 |