| NPI | 1104423045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM OT4241) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201010752) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |