| NPI | 1134664592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901014) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 140511) |
| 103K00000X Behavior Analyst (Licence: PA bh000065) | |
| 103K00000X Behavior Analyst (Licence: OH COBA.00644) | |
| 103K00000X Behavior Analyst (Licence: 1-19-400900) | |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2024-05-01 |