| NPI | 1336819119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN BACB700782) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2024-06-04 |