| NPI | 1609372630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201009185) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH ot009058) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2021-09-10 |