| NPI | 1205573318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.2309222) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 183480) |
| 376K00000X Nurse's Aide (Licence: OH 402121911118) | |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2023-06-05 |