| NPI | 1306363809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201010658) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 021491) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2020-01-20 |