| NPI | 1871131169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN.532364) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA172482) |
| 164W00000X Licensed Practical Nurse (Licence: OH LPN.171264.MEDS-IV) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2024-04-25 |