| NPI | 1760097661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2203839-TRNE) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-20-131783) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2022-09-01 |