| NPI | 1063399707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN.554893) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.006524) |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2026-04-20 |