| NPI | 1235885047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-22-205214) |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2025-09-16 |