| NPI | 1275073900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2204770) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2204770) |
| 101YP2500X Counselor, Professional (Licence: OH 2103678) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2023-09-22 |