| NPI | 1073976288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201004409) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |