| NPI | 1518683770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2607819) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-22-228911) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2026-01-29 |