| NPI | 1346704814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1902054) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH M.1800109-TRNE) |
| 106S00000X Behavior Technician (Licence: OH C.1801162-TRNE) | |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-07-11 |