| NPI | 1609533678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-21-194160) |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2024-03-01 |