| NPI | 1063553212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201006007) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC009433) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2019-01-03 |