| NPI | 1477969541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: ME 1-04-1922) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: ME 31656) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |