| NPI | 1821118530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.023645) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0008189-SUPV) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2023-11-20 |