| 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 |