| NPI | 1437914413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225800000X Recreation Therapist (Licence: MI 86171) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2025-08-20 |