| NPI | 1508401779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN.535900) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA173792) |
| 163W00000X Registered Nurse (Licence: OH RN.535900) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2024-06-11 |