| NPI | 1235761180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251B00000X Case Management |
| 106S00000X Behavior Technician (Licence: OH RBT-20-146237) | |
| Enumeration Date | 2020-02-09 |
| Last Update Date | 2024-05-23 |