| NPI | 1730600719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0038189) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.346653) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2025-08-22 |