| NPI | 1932553070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0034051) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I.1600164) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2023-06-26 |