| NPI | 1417408923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT005404) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201007837) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |