| NPI | 1851921480 |
|---|---|
| Former Name | BREANNA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH E.2404372) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2024-06-26 |