| NPI | 1457721268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT17225) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201003032) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |