| NPI | 1518035690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201005298) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 013215-1) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-03-06 |