| NPI | 1336677673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 6125) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201010936) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2022-02-09 |