NPI | 1275917841 |
---|---|
Former Name | SOPHIE DEVORAH LESTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225800000X Recreation Therapist (Licence: MI 66391) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 1-23-65697) |
Enumeration Date | 2015-07-14 |
Last Update Date | 2023-05-14 |