| NPI | 1194964817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 23108) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201005832) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2024-01-24 |