| NPI | 1447866140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.092838.MEDS) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH pn092838) |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-18 |