| NPI | 1013504406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OH RBT-22-207802) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH 474632) |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2022-05-23 |