| NPI | 1467144600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2304902-TRNE) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH APP000695832) |
| 175T00000X Peer Specialist (Licence: OH APP000695832) | |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2024-04-19 |