| NPI | 1942541321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: ME PS1337) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1107486) |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2013-03-08 |