| NPI | 1457954125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-20-134075) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2023-10-09 |