| NPI | 1629556006 |
|---|---|
| Former Name | MADISON LUCILLE TREMPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201012830) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2022-04-01 |