| NPI | 1114369204 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201007534) | 
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: MI 5201007534) | 
| Enumeration Date | 2013-07-18 | 
| Last Update Date | 2013-07-18 |