| NPI | 1174725485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 17-02786) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201005170) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2014-06-25 |