| NPI | 1245438936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MI 5201007857) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: OH OT-006911) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2018-06-11 |