| NPI | 1164064416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2204433) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH APP-000411691) |
| 1041S0200X Social Worker, School | |
| 1041S0200X Social Worker, School (Licence: OH APP-000411691) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2024-05-10 |