| NPI | 1710566849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39005439A) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-17-43224) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2025-05-02 |