NPI | 1538701099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401002930) |
Additional Taxonomies | 225800000X Recreation Therapist (Licence: 57721) |
Enumeration Date | 2019-10-16 |
Last Update Date | 2025-07-30 |