| NPI | 1265090153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2304978) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-19-84764) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2023-03-28 |