| NPI | 1942964556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-21-190793) |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2023-08-01 |