| NPI | 1629560057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2204181) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 101YM0800X Counselor, Mental Health (Licence: OH C.2204181) | |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2024-01-05 |