| NPI | 1609499284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN.129791) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.174005) |
| 163WC0400X Registered Nurse, Case Management (Licence: OH RN.129791) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OH RN.129791) | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2021-01-23 |