| NPI | 1952862542 |
|---|---|
| Former Name | PERVIN GUPTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2020-01-29 |