| NPI | 1740628536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: OH APRN.CNS.019316) |
| Additional Taxonomies | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: IN 70000125A) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2016-11-30 |