| NPI | 1659801603 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: MI 5201000419) | 
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: MI 5201000419) | 
| Enumeration Date | 2017-06-13 | 
| Last Update Date | 2022-07-21 |