| 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 |