| NPI | 1407378417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2023011622) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201011116) |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2023-03-30 |