| NPI | 1407600463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.190944) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.158563.MEDS-IV) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2025-01-09 |