| NPI | 1730818501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2203858) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH C.2203858) |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-06-07 |