| NPI | 1861979221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MI 5201013265) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MI M234115579517) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2025-07-24 |