| NPI | 1407987365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: MI 5201005212) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: MD 05891) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2012-11-07 |