| NPI | 1124386362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201006637) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 4802026) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2024-07-31 |