| NPI | 1891300653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-19-107626) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2021-02-08 |