| NPI | 1821115858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: OH COA03738-NS) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.170378-COA1) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2011-02-08 |