| NPI | 1508222464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2107060) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 1041C0700X Social Worker, Clinical (Licence: OH S.2107060) | |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2022-04-19 |