| NPI | 1063205896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: ME 1-17-24983) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: ME LS5921) |
| Enumeration Date | 2025-05-24 |
| Last Update Date | 2025-05-24 |