| NPI | 1568815900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201008890) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 116494) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |