| NPI | 1194097550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201008143) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 3916) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2018-03-17 |