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 |