| NPI | 1639668270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2103200-TRNE) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2022-01-18 |