| NPI | 1891464251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH FPS.000053) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-21-184163) |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2024-06-28 |