| NPI | 1740829886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201013794) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2025-10-09 |