NPI | 1891275715 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MI 5201010221) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-08-20 |
Last Update Date | 2022-04-20 |