| NPI | 1326613035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501304011) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2025-10-21 |