| NPI | 1043028236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-26-87762) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33010569A) |
| 106S00000X Behavior Technician (Licence: IN RBT-22-136513) | |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2026-02-18 |