| NPI | 1669052908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician (Licence: IN RBT-19-98966) | |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2023-01-12 |