| NPI | 1013599505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39004709A) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-25-416042) |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2025-03-07 |