| NPI | 1922573229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MI 5202007745) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MI 5502003761) |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |