| NPI | 1649666199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 5635-26) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201009098) |
| Enumeration Date | 2015-04-11 |
| Last Update Date | 2025-02-05 |