| NPI | 1063098309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.166285.MEDS-IV) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.176101) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2023-01-12 |