| NPI | 1083004758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201010511) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 019228) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2019-10-02 |