| NPI | 1780124925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0028887) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.404501) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.404501) | |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2021-06-29 |