| NPI | 1265920441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2608007-TRNE) |
| Additional Taxonomies | 103T00000X Psychologist |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2026-08-28 |