| NPI | 1689563652 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-24-361292) |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-11-17 |