| NPI | 1043025513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-25-80352) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 106S00000X Behavior Technician (Licence: IN RBT-19-98948) | |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-04-07 |