| NPI | 1184131914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN.499080) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.499080) |
| 164W00000X Licensed Practical Nurse (Licence: OH 152188) | |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2022-07-25 |