| NPI | 1225516222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 171M00000X Case Manager/Care Coordinator (Licence: OH 1225516222) | |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2020-01-28 |