| NPI | 1366074528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN521309) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.190394) |
| 164W00000X Licensed Practical Nurse (Licence: OH LPN.159805.MEDS-IV) | |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2024-10-31 |