| NPI | 1427803501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: OH CDCA.190000) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.002890) |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2026-03-05 |