| NPI | 1164712477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201002884) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801104919) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2019-11-13 |