| NPI | 1447653068 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MI 5201008507) | 
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics | 
| Enumeration Date | 2014-09-28 | 
| Last Update Date | 2023-05-04 |