| NPI | 1316538960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S3220263-T) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-21-153215) |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2023-06-27 |