| NPI | 1235630146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201009869) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO OT.0005337) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-02-26 |