| NPI | 1710472048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2303217-TRNE) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2024-02-26 |