| NPI | 1932797198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.177135.MEDS) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.184860) |
| 164W00000X Licensed Practical Nurse (Licence: PA PN284188) | |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2023-06-21 |