| NPI | 1255570917 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201006364) | 
| Additional Taxonomies | 174400000X Specialist (Licence: MI 5201006364) | 
| Enumeration Date | 2009-02-19 | 
| Last Update Date | 2018-11-09 |