| NPI | 1669955514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201013645) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225800000X Recreation Therapist (Licence: MI 83895) | |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2023-10-17 |