| NPI | 1134503683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ME PS1400) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-14-9609) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |