| NPI | 1417558792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC17205) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: ME LC17205) |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |