| NPI | 1407429442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-21-176294) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2023-02-01 |