| NPI | 1013585835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2102192-TRNE) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-21-172124) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2022-01-18 |