| NPI | 1437623352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201014088) |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: MI 84350) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2025-01-09 |