| NPI | 1073218848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MI 5202008732) |
| Additional Taxonomies | 224ZE0001X Occupational Therapy Assistant, Environmental Modification (Licence: MI 5202008732) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-18 |