| NPI | 1396105177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 112444) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201006106) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2020-01-06 |