| NPI | 1083155774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 10846) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201006887) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-08-01 |