| NPI | 1952333452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: OH COA.00244-NS) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2015-08-24 |