| NPI | 1174118749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2507148) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2506451-TRNE) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2025-06-17 |