| NPI | 1639671803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0036324) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 164212) |
| 163W00000X Registered Nurse (Licence: OH 406965) | |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2024-04-30 |