| NPI | 1710504105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH 19-93378) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-12-01 |