NPI | 1699289066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201013297) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-11-21 |
Last Update Date | 2023-04-07 |