| NPI | 1538826839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MI 5202009848) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 224Z00000X Occupational Therapy Assistant | |
| Enumeration Date | 2021-11-21 |
| Last Update Date | 2024-03-19 |