| NPI | 1912350513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 1145293) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: OH APRN.CNP.020075) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2020-11-19 |