| NPI | 1780247650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: IN RBT-19-83010) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10088) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2021-06-07 |