| NPI | 1821624214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.001633) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2025-11-21 |