| NPI | 1356006993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2304882-TRNE) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-21-191757) |
| 171M00000X Case Manager/Care Coordinator (Licence: OH C.2304882-TRNE) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2304882-TRNE) | |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2023-11-06 |