| NPI | 1811422090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S 1302500) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2024-07-31 |