| NPI | 1497231260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NV OT-2182) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201009941) |
| 225X00000X Occupational Therapist (Licence: CO 0005399) | |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2019-01-04 |