| NPI | 1255097432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: MI 5201011428) |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2021-12-27 |