| NPI | 1255833687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201002129) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-12-18 |