| NPI | 1669791315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1901855) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: OH S.1701133) | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2020-03-12 |