| NPI | 1154689404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MI 5201008062) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2023-02-01 |