| NPI | 1184194201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201001590) |
| Additional Taxonomies | 225XE0001X Occupational Therapist, Environmental Modification (Licence: MI 5201001590) |
| Enumeration Date | 2018-12-01 |
| Last Update Date | 2018-12-01 |