| NPI | 1871253260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MI 5202010234) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-21-197926) |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2025-02-26 |