| NPI | 1679135495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201013261) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225X00000X Occupational Therapist (Licence: MN 5201013261) | |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2023-04-10 |