| NPI | 1518325687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 021133) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201008901) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2017-01-11 |