| NPI | 1184167397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA OT16697) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201009655) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |