| NPI | 1316536063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN.482139) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162430) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.174239) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OH RN.482139) | |
| 171M00000X Case Manager/Care Coordinator (Licence: CMS) | |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2022-11-08 |