| NPI | 1922624568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2404929) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-19-87375) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2025-01-02 |