| NPI | 1245796192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201013703) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NV OT-2213) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2024-09-24 |