| NPI | 1205409588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 88003185A) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-21-176690) |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2026-02-03 |