| NPI | 1912668104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: MI 69755) |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2022-02-16 |