NPI | 1215461298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN-090990) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 160873) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2017-04-17 |
Last Update Date | 2022-07-19 |