| NPI | 1114497856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT19866) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 084581) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2019-09-10 |