| NPI | 1194195651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201011319) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 096.003365) |
| 225X00000X Occupational Therapist (Licence: IN 31006969A) | |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2022-06-05 |