| NPI | 1710226717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.0034697) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH C0500498) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2024-07-30 |