| NPI | 1407394034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374T00000X Religious Nonmedical Nursing Personnel (Licence: OH PN086984) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 060796) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |