| NPI | 1811413677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34009598A) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2022-02-21 |