| NPI | 1043926389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-26-89061) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2608234) |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2026-08-07 |