| NPI | 1144660234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201008875) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 224ZF0002X Occupational Therapy Assistant, Feeding, Eating & Swallowing (Licence: MI 5201008875) | |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2021-06-02 |