| NPI | 1790558716 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: OH APRN.CNP.0034717) | 
| Enumeration Date | 2023-11-01 | 
| Last Update Date | 2023-11-01 |