| 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 |