| NPI | 1215326350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 1215326350) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2018-08-22 |