| NPI | 1740424803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: MI 5201009414) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201009414) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2022-03-22 |