| NPI | 1902648967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: OH 191698) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 187444) |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2025-07-03 |