| NPI | 1457814477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH C.2305692) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-67117) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2204305-TRNE) | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2024-01-17 |