| NPI | 1447993373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2304920) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2204051-TRNE) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2025-09-16 |