| NPI | 1457888968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201009307) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MI 7501006756) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2023-12-29 |