| NPI | 1386988384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201007272) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MI 7501009244) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2025-10-15 |