| NPI | 1952969933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.189884) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 173445) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2024-10-02 |