| NPI | 1609429737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 182437) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2023-04-28 |