| NPI | 1700245495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: ME RBT-17-44916) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 106S00000X Behavior Technician (Licence: ME 00003212) | |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2018-01-22 |