| NPI | 1740095249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2607903-TRNE) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-23-409328) |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2026-09-01 |