| NPI | 1619533817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN.427587) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 427587) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2022-12-15 |