| NPI | 1427577543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201011301) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2021-05-24 |