| NPI | 1972551711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: OH COA.07267-NS) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: OH COA,07267-NS) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2015-08-10 |