| NPI | 1952172652 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MI 5202006714)  | 
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant | 
| Enumeration Date | 2024-01-11 | 
| Last Update Date | 2024-01-11 |