| NPI | 1376047944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.1801577) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2022-12-21 |