| NPI | 1083996581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN 130041) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH PN130041) |
| 164X00000X Licensed Vocational Nurse (Licence: OH PN 130041) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: OH PN130041) | |
| 372600000X Adult Companion (Licence: OH PN 130041) | |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |