| NPI | 1083124580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CO OT.0004892) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201008531) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |