| NPI | 1194380709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39005219A) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2026-04-13 |