| NPI | 1174289334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201013866) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 22519) |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2024-09-16 |