| NPI | 1770058604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN453326) |
| Additional Taxonomies | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: OH RN453326) |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: OH RN453326) | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: OH RN453326) | |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2024-10-07 |