| NPI | 1861843948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.314416) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH RN.314416) |
| 101YM0800X Counselor, Mental Health (Licence: OH RN.314416) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2021-11-17 |