| NPI | 1104491885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH S.2202821-TRNE) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2023-01-12 |