NPI | 1558669929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 892645) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: OH RN-149812) |
Enumeration Date | 2011-03-08 |
Last Update Date | 2011-03-08 |