| NPI | 1174264089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: IN RBT-25-407978) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10003582A) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2025-11-03 |