| NPI | 1386095966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201009570) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MI 5202007517) |
| Enumeration Date | 2016-06-25 |
| Last Update Date | 2019-09-03 |