| NPI | 1649818527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2506236) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2025-02-04 |