| NPI | 1710334040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.335272) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.335272) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN.335272) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: OH rn335272) | |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2023-06-12 |