| NPI | 1174161442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2404884) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C2002714) |
| 101YM0800X Counselor, Mental Health | |
| 106S00000X Behavior Technician (Licence: OH RBT-18-63430) | |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2024-11-22 |