| NPI | 1477065795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201013549) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2023-10-06 |