| NPI | 1245702760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: MI 5201002562) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: MI 5201002562) |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2018-12-21 |