| NPI | 1609379882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201009981) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 520100981) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |