| NPI | 1326581760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201002766) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH OT-5446) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2018-12-04 |