| NPI | 1841791423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.176050.MEDS-IV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CDCA.166628) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2021-10-04 |