| NPI | 1164824082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS1492) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: BACB238109) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2022-11-23 |