| NPI | 1992201123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201010218) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MI 5201010218) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2022-07-14 |