| NPI | 1568113157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201008462) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: MI 5201008462) |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2022-01-14 |