| NPI | 1124533682 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106S00000X Behavior Technician | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH S.1450798)  | 
| 104100000X Social Worker (Licence: OH S.1450798)  | |
| Enumeration Date | 2017-12-06 | 
| Last Update Date | 2024-11-22 |