| NPI | 1154927945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2606281) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-20-139184) |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2026-02-18 |