| NPI | 1699501650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201014052) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119009945) |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2025-03-05 |