| NPI | 1609417419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: MI 5201010695) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201010695) |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2021-10-08 |