| NPI | 1629449749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT17110) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201000648) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-10-16 |