| 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 |