| NPI | 1285223024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A22658) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-21-151129) |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2026-05-27 |