| NPI | 1992336077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201013196) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2023-01-17 |