| NPI | 1962201574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 422795) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2025-03-08 |
| Last Update Date | 2025-03-08 |