NPI | 1790554905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 097819) |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
Enumeration Date | 2023-12-28 |
Last Update Date | 2023-12-28 |