| NPI | 1346737343 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201000497)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist | 
| 225X00000X Occupational Therapist (Licence: 5201000497)  | |
| Enumeration Date | 2018-04-16 | 
| Last Update Date | 2018-04-16 |