| NPI | 1598120263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201006541) |
| Additional Taxonomies | 171W00000X Contractor (Licence: MI 225XP0200X) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2022-04-04 |