| NPI | 1275909293 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201009155)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH OT.008941)  | 
| Enumeration Date | 2015-08-13 | 
| Last Update Date | 2015-08-13 |