| NPI | 1821841438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0036074) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 825486) |
| 163W00000X Registered Nurse (Licence: MI 4704440899) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95030355) | |
| 163W00000X Registered Nurse (Licence: OH RN.369819) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4074440899) | |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2026-04-06 |