| NPI | 1508102286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 20054) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201008310) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2020-12-29 |