| NPI | 1649475682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ME PS1380) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 04783) |
| 103K00000X Behavior Analyst (Licence: 1-05-2441) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2013-07-12 |