| NPI | 1699902312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT13611) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201004381) |
| Enumeration Date | 2009-06-20 |
| Last Update Date | 2009-06-20 |