| 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 |