NPI | 1821633611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201012665) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-11-15 |
Last Update Date | 2022-01-11 |