| NPI | 1417491531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.1201424) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO BACB505750) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2019-08-26 |