| NPI | 1053820134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0006302) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201009913) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2020-03-12 |