| NPI | 1881299949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.2504252-TRNE) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2504252-TRNE) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2025-09-22 |