| NPI | 1790525053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0036471) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4022736) |
| 163W00000X Registered Nurse (Licence: OH RN.456937) | |
| Enumeration Date | 2024-05-25 |
| Last Update Date | 2025-09-24 |