NPI | 1275007247 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201007580) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MI 5201007580) |
Enumeration Date | 2019-01-14 |
Last Update Date | 2021-10-28 |