| NPI | 1194390781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225800000X Recreation Therapist (Licence: MI 82307) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 709426) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2022-09-26 |