| NPI | 1235741810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH M2100230TRNE) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-19-81184) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2021-12-15 |