| NPI | 1396417739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201011404) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH OT011725) |
| 225X00000X Occupational Therapist (Licence: SC OT.6318) | |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2021-10-04 |