| NPI | 1871130740 |
|---|---|
| Former Name | KATRINA HODGESON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 00005502004331) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2024-08-12 |