| NPI | 1427692003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2505398) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2025-06-30 |