| NPI | 1174144943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2405866) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-20-114647) |
| Enumeration Date | 2020-05-02 |
| Last Update Date | 2025-04-09 |