| NPI | 1184395501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2204269-TRNE) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2204269-TRNE) |
| 106S00000X Behavior Technician (Licence: OH RBT-19-104392) | |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2023-08-07 |