| NPI | 1912470915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.499922) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 17029.MEDS-IV) |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2023-08-08 |