| NPI | 1003480609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: MI 5201014092) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2025-02-06 |