| NPI | 1003285974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201007299) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 4585-26) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |