| NPI | 1831488543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 15470-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15470-NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 272194) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61254943) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA MP7393426) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: OH MP3180724) | |
| 163W00000X Registered Nurse (Licence: OH RN316056) | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2023-03-15 |