| NPI | 1619643400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.2106796) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: OH S.2106796) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2024-01-14 |