| NPI | 1962741199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: KY 4016530) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.145176-M-I V) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2024-04-14 |