| NPI | 1245383637 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201004575) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 9153) | 
| 225X00000X Occupational Therapist (Licence: NM 3621) | |
| Enumeration Date | 2007-01-19 | 
| Last Update Date | 2016-11-22 |