| NPI | 1013351121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201009263) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MI 5502001938) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2018-08-23 |