| NPI | 1154953602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201010799) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT20615) |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |