| NPI | 1649924945 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201013601) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 14433) | 
| Enumeration Date | 2022-02-07 | 
| Last Update Date | 2025-07-29 |