| NPI | 1730234923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: MI 6401001835) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201000002) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |