| NPI | 1679865745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: OH RN.215681-COA1) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: OH RX.07752-EX1) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2011-11-08 |