| NPI | 1013486885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201007149) |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2021-08-13 |