| NPI | 1689452807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH 0034937) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 0034937) |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2025-01-13 |