| NPI | 1508563685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2506968-TRNE) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 103K00000X Behavior Analyst (Licence: MA 00019998) | |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2025-09-12 |