| NPI | 1598041709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 016864) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201007976) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2015-09-24 |