| NPI | 1164025631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-20-137166) |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2026-06-01 |