| NPI | 1457821282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH c.2607891) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2026-03-13 |