| NPI | 1306207808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201009397) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 5824-26) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2019-04-30 |