| NPI | 1154059376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-22-222557) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2023-05-08 |