| NPI | 1700152469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MI 5202006239) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2022-12-08 |