| NPI | 1316448707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2506560) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2101743-TRNE) |
| 106S00000X Behavior Technician | |
| 104100000X Social Worker (Licence: OH S.2207851) | |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2026-08-17 |