| NPI | 1689010639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201009017) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH OT.008364) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2018-03-06 |