| NPI | 1710184551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MI 5202007275) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA.03019) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2018-10-02 |