| NPI | 1316295785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT14596) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201007383) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |