| NPI | 1699504969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 189997) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: OH 7000560495RM) |
| 376K00000X Nurse's Aide (Licence: OH 602688510723) | |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-09-26 |