| NPI | 1679820641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.0501204) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.0501204) |
| 101YM0800X Counselor, Mental Health (Licence: OH C.0501204) | |
| 101YS0200X Counselor, School (Licence: OH C.0501204) | |
| 103K00000X Behavior Analyst (Licence: OH C.0501204) | |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |