| NPI | 1588378921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: IN 17599521) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN 23-252096) |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2025-12-05 |