| NPI | 1447775507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 167137) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 375998) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2021-09-24 |