| NPI | 1407328818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: MI 5201003538) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: MI 5201003538) |
| Enumeration Date | 2018-12-23 |
| Last Update Date | 2018-12-23 |