| NPI | 1518340512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201009104) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT16850) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2016-10-28 |