| NPI | 1265009310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201011238) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 106578) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2023-04-19 |