| NPI | 1871933929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0037800) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: OH RN353747) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2025-01-14 |