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 |